Evolve - Management of Care

The nurse is learning about the types of injuries caused by explosive devices used as agents of terrorism. Which statement about the injuries caused by explosive devices does the nurse know to be true?

Blast injuries primarily damage the gastrointestinal (GI) tract.

When using the AMPLE memory aid to conduct a health history during the emergency assessment, which questions will the nurse ask? Select all that apply.

"Do you smoke or drink?" "When was your last meal?" "Do you have any drug allergies?" "When was your last tetanus shot?"

A client is concerned about not receiving treatment due to a Medicare policy change. What is the accurate response of a nurse as a leader?

"The change will not affect your treatment."

A client presents to the emergency room with coughing and sudden wheezing. The nurse notes the client is progressing quickly into respiratory distress. The nurse identifies that the client is experiencing what problem?

An acute asthma attack

The primary nurse calls the pediatric nurse practitioner to examine the genital area of a 5-year-old girl in whom sexual abuse by her father is suspected. How can the primary nurse be most supportive to the child?

By describing the procedure and staying with the child during the examination

After an earthquake, the emergency medical service (EMS) providers' team is performing triage functions in the field. How would the nurse describe how the EMS teams categorize the triage of clients? Select all that apply.

Clients are assigned with specific numbers Clients are provided with specific colored tags

The nurse uses evidence-based practice while providing nursing care to clients. What distinguishes research-based practice different from evidence-based practice?

It uses knowledge based only on research studies.

In which role does the nurse oversee the budget of a specific nursing unit or agency?

Nurse Manager

To improve client care, the registered nurse (RN) has delegated tasks involved in assisting the client with activities of daily life (ADLs) to a certified nursing aide, and the administration of oral medications to the licensed practical nurse. Which member of the health care team would be accountable for the final client care?

Registered nurse

If there is a fire at the healthcare facility, which priority action by the nurse ensures care to the clients? Select all that apply.

Removing the clients from immediate danger Moving the bedridden clients on stretchers, wrapped in blankets Maintaining manual respiration to the client on life support

Which statement about the delegatee condition is true regarding "selling"?

The delegatee has ongoing relationships; however, the task is new.

Which principle of systems thinking theory involves the nurse focusing on the needs of all residents in a long-term care facility?

Thinking of the big picture

The nurse manager is in charge of a relatively inexperienced nursing staff. The manager inspires followers through displayed optimism, by providing intellectual stimulation, and by encouraging follower creativity. Which leadership theory is most closely aligned with the manager's approach?

Transformational theory

While caring for a client with urinary tract infection, the nurse manager delegated the work of administering oral medications. Which delegatee would be appropriate for this task? Select all that apply.

Licensed practical nurse Licensed vocational nurse

Which model of nursing is focused on the task-oriented approach to client care?

Functional model

Which skill in critical thinking requires to be orderly in data collection?

Interpretation

In a mass casualty event, the nurses from medical-surgical nursing units are asked, in collaboration with the healthcare provider, to recommend clients for discharge to free up inpatient beds for disaster victims. Which clients are most likely to be discharged early? Select all that apply.

A client who could be cared for in a rehabilitation center A client who is having diagnostic evaluations and is not bedridden A client who could be could be cared for at home with support from home healthcare services

The leader is advising the nursing student to avoid making careless assumptions. Which critical thinking skill does the leader wants the nursing student to learn?

Analysis

While making rounds, the nurse finds a client lying on the floor next to a wheelchair. The client states, "I was trying to get back to bed and slipped." What should be the nurse's initial action?

Arrange for the client to be examined by the in-house healthcare provider.

Which delegation actions may be performed by unlicensed nursing personnel while caring for a client? Select all that apply.

Asking the client to wash the hands before meals Instructing the client to wear footwear while walking

The nurse is caring for a client who survived a severe burn injury. Which action should the nurse perform immediately based on priority?

Assess airway patency

Which type of leadership theory explains the effectiveness of leadership and depends on the match between a leader's style and the demands of a situation?

Contingency Model

Which initiatives for leaders and managers are set forth in the Institute of Medicine's core relevance report "The Future of Nursing?" Select all that apply.

Created state coalitions focused on nursing Provided a framework for considering how nurses could determine staffing requirements

A nurse has opted to work in a rural hospital. Which competencies are most important in this work setting? Select all that apply.

Emergency care Physical assessment Clinical decision-making

A direct care nurse performs exceedingly well on a cancer project. As a result, the managerial team decides to promote the nurse to a managerial position. Which actions by the nurse would justify the decision of the panel? Select all that apply.

Inspiring new ideas Establishing short-term goals Demonstrating positive feelings Maximizing results from existing resources

The primary healthcare provider prescribes a rectal suppository for a client with severe constipation. Which healthcare professional would be delegated the task of administering the suppository?

Licensed practical nurse

An infant with a diagnosis of failure to thrive has been receiving enteral feedings for 3 days. All feedings have been retained, but the skin and mucous membranes are dry, and the infant has lost weight. What should the nurse do first in light of these findings?

Notify the practitioner

A client with a mental illness in the emergency unit needs to undergo an emergency surgery. What would be the nurse's first course of action to prevent any legal complications?

Obtain consent from a person legally authorized to give it on the client's behalf, if available

At a staff meeting, the question of a staff nurse's returning to work after completing a drug rehabilitation program is discussed. What is the most therapeutic way for the staff to handle the nurse's return?

Offering the nurse support in a straightforward manner

Which factors does the registered nurse consider in the decision to delegate process? Select all that apply.

Predictability of outcomes Complexity of the task to be performed

Which statement is true about prescriptive theories?

Prescriptive theories are action-oriented

The nurse is assessing a client with multiple injuries due to a severe motor vehicle accident. Which nursing intervention should the nurse perform first?

Providing bag-valve-mask ventilation

A nurse leader is promoting dialogue within the team successfully. Which actions of the nurse leader are responsible for this success? Select all that apply.

Serving as a facilitator Encouraging the sharing of ideas Reacting to changed proposals honestly

What points should the nurse remember when caring for a client who has a history of suicide attempts? Select all that apply.

The nurse should document the measures taken to prevent suicides. If the client makes a suicide attempt in the hospital, this action may lead to a lawsuit. The primary health care facility will be responsible for failing to provide adequate supervision.

After caring for a client who underwent a cesarean section, the delegatee failed to report results and findings of vital signs to the delegator due to improper understanding. Which action of the delegator is the reason for the delegatee's failure?

Unclear directions to the delegatee

The nurse as a leader assists multidisciplinary leaders to achieve optimal functioning to benefit client care delivery. Which Gardner's task is the nurse applying?

"Personal mastery fosters openness in the face of change."

A nurse who lacks confidence in her performance in a new position is worried about an upcoming review with the nursing director. What type of power does the nursing director hold in this scenario?

Coercive power

Which agency's operations would the registered nurse consider to be most in need of incident command system (ICS) training?

NIMS (National Incident Management System)

Which tag color according to the disaster triage tag system is assigned to a client who has an immediate threat to life?

Red

The registered nurse (RN) who was caring for a postsurgical client went out for a break. The RN assigns the work to a healthcare professional who is also an RN. Which is the correct statement regarding this situation?

The situation describes assignment

Which statement of the nurse at the time of discharge would reflect the decision-making skill called autonomy?

"I may independently develop and implement a discharge teaching plan."

The registered nurse is teaching a newly hired nurse about communicating with delegatees during delegation. Which statement made by the newly hired nurse indicates the need for further learning?

"I should provide examples of each delegation"

Arrange the order of steps involved in the evidence-based practice process.

1. ask ... 2. collect ... 3. critically appraise ... 4. integrate all evidence ... 5. evaluate ... 6. share ...

What should a nurse recommend to best help a client during the period immediately after a spouse's death?

Bereavement counseling

How can nurses exhibit the concept of open-mindedness as a part of critical thinking behavior in their teams? Select all that apply.

By respecting the right of others to have different opinions By becoming sensitive to the possibility of their own prejudices

After speaking with the parents of a child dying of leukemia, the primary healthcare provider gives a verbal do-not-resuscitate order but refuses to put it in writing. What should the nurse do?

Determine whether the family is in accord with the primary healthcare provider while following hospital policy.

Which strategy of the nurse leader regarding the quality improvement (QI) process requires revising?

Focus on correcting errors

A nurse delegator assigns work to a delegatee who has the ability and willingness to do the work but the relationship between the delegator and delegatee is relatively new. How is the delegator's behavior described according to Hersey's Model?

Participating

The primary healthcare provider confirms that the client has myopia. Which type of test did the nurse perform to help the primary healthcare provider reach this conclusion?

Snellen eye chart

A 6-year-old child with a leg fracture of suspicious origin is brought into the emergency department by the mother and the mother's boyfriend. It is the child's first visit to this hospital. After assessing the child, a nurse anticipates that the healthcare provider will order a skeletal survey. Why is a skeletal survey the preferred diagnostic tool?

The skeletal history of the current fracture and any previous healing or healed fractures are identified

A registered nurse is providing feedback to a delegatee after monitoring the work. Which feedback is the best for shaping the future behavior of the delegatee?

You performed the procedure safely and professionally

Which point should the nurse exclude when developing strategies to project a powerful image?

using authoritative language

The direct care nurse is delegated the task of reviewing the informed consent form after being completed by the client. Who should the direct care nurse consult regarding queries related to client rights?

Nurse manager

A housekeeping staff member in a mental health unit reports to the nurse that food was found hidden in a client's room. Knowing that the client was admitted with a fluid and electrolyte imbalance because of anorexia nervosa, what should the nurse ask housekeeping personnel to do?

Report it to the nursing staff if it happens again

The nurse is assessing a client with a laryngeal trauma. This client presents with hemoptysis, aphonia, hoarseness, dyspnea, and subcutaneous emphysema. Which condition of the client stands first in the priority list?

dyspnea

A registered nurse is explaining the term "just culture" to the student nurse. Which explanation provided by the registered nurse is accurate?

"It refers to promoting open discussion whenever error occurs without fear of recrimination."

The registered nurse is evaluating the statements made by a student nurse after teaching ways to make appropriate delegation decisions. Which statement made by the student nurse indicates a need for correction?

"The delegator should recheck and redo the work of the delegatee."

The registered nurse (RN) is planning to provide feedback to the licensed practical nurse(LPN). Which questions asked by the RN help in eliciting the LPN's work quality? Select all that apply.

"how did the patient respond?" "what changes were observed in the client?"

The registered nurse is assigning tasks to a healthcare team to provide care for a group of clients in hospice care. How should the registered nurse help the healthcare team attain an effective outcome in the hospice care?

Assisting the healthcare team in planning

A nurse is reviewing the healthcare provider's prescriptions for a school-aged child with diarrhea caused by a Salmonella infection. Which prescription should the nurse question?

Bismuth subsalicylate (Kaopectate), 2 teaspoons after each stool

What important intervention should be included in the nursing care provided immediately after a sexual assault?

Obtaining the assault history from the client

A registered nurse who is a beginning group leader in a community mental health center has been assigned to start a new group with regressive long-term clients. The nurse manager explains that in the beginning new group leaders are expected to do what?

Feel uncomfortable handling conflicts between members of the group.

The nurse manager is implementing a change in evening care for clients to include back rubs to promote sleep. The nurse manager convinces the managers of various nursing units and also supports nursing staff who are willing to implement the change. Which component of Kotter's eight step model is involved in this scenario?

Forming a powerful coalition

What statements are related to a mentorship program organized by the nurse manager in a health organization? Select all that apply.

It expands the knowledge about cultural diversity. It involves selection of mentors who ascribe to transcultural values and beliefs. It should not make people of different cultures pattern their behavior after the prevailing culture.

The goal of a particular nursing theory is to use communication to help a client re-establish positive adaptation to environment, and the framework for the nursing practice is based on treating nursing as a dynamic interpersonal process among the nurse, the client, and the healthcare system. Which nursing theory are these points related to?

King's Theory

What should the nurse consider to be limitations of assisted living? Select all that apply.

Most residents need to pay privately. Only home care nurses can visit the clients. Average monthly fee is $3,022 for a private unit.

A client refuses to go to the twice-a-day prescribed sessions in physical therapy. How might the nurse best approach this problem?

Planning a conference with the client, the physical therapist, and the nurse present to discuss the client's feelings

The nurse manager threatens a staff nurse about being penalized for poor performance in the unit. Which type of leader behavior did the staff nurse experience?

Punitive

The student nurse is assisting the registered nurse (RN) in collecting feedback from superiors and peers. The questions they are asking address comments to the RN about his or her work quality that affects the environment and overall productivity. Which theory does the student nurse think the RN is applying practically as a leader?

Style theory

The registered nurse delegates a task to the unlicensed assistive personnel (UAP). After the UAP starts the task, the registered nurse (RN) asks for feedback related to the task. Which right of delegation is the RN following?

Supervision

The nurse as a leader assists multidisciplinary leaders to achieve optimal functioning to benefit client care delivery. Which Gardner's task is the nurse applying?

achieving workable unity

The nurse is assessing a client with hemorrhagic stroke due to a motor bike accident. Which condition of the client requires immediate attention?

body temperature of 81.2F